Prevalence, risk factors and short term outcomes of acute myocardial infarction in Baghdad teaching hospital, 2019

Abstract

Background: The incidence of coronary artery disease and related mortality is expected to be raised dramatically in developing countries.Results from the Global Burden of Disease Study 2017 revealed that cardiovascular diseases were the second leading cause of non-communicable diseases(NCD) burden. Aim of study: To estimate the prevalence, risk factors and short term outcomes of patients with acute myocardial infarction. Patient and methods: A prospective cross-sectional study conducted among patients who were admitted to the coronary care unit (CCU) at Baghdad teaching hospital, 3rd floor for the period from July/2019 to October/2019 where the patients were conveniently selected for participation after verbal consent was taken from them. Full history, examination, ECG, cardiac enzymes, Echo was done to all participants. Results: Fifty-four out of 500 patients with inclusion criteria were registered.70.4% of patients had STEMI and 29.6% had NSTEMI, the most common affected age group was 60-69 years old with the mean age being 59±11 years, and males were at greater risk with a male/female ratio 2:1The most common risk factor was hypertension (61%). Eighteen patients (33.3%) of study population developed complications,the most common complication was mitral regurgitation. Conclusion: Prevalence of myocardial infarction in our tertiary hospital was not common.The most common risk factor was hypertension.The complications of myocardial infarction were frequent and the acute mitral regurgitation was the most promin ent one.